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CDOT UTILITY /RELOCATION /SPECIAL USE PERMIT STANDARD PROVISIONS <br />The following Standard Provisions are terms and <br />conditions of this permit: <br />Effective March 1, 2006 <br />Utility work authorized under this permit shall comply with the requirements of <br />the State Highway Utility Accommodation Code, and applicable federal, state, <br />local, and industry codes and regulations. <br />Construction of any-portion of the highway facility, including the pavement <br />structure, subsurface support, drainage, landscaping elements and all <br />appurtenant features, shall comply with the provisions of the CDOT Standard <br />Specifications for Road and Bridge Construction, and with the Colorado <br />Standard Plans (M & S Standards). <br />1. COMMENCEMENT AND COMPLETION <br />Work on highway Right of Way (ROW) shall not commence prior to issuance <br />of a fully endorsed and validated permit. <br />Permittee shall notify the CDOT inspector: <br />a. At least 2 working days prior to commencing work, or resuming <br />operations which have been suspended for five or more consecutive <br />working days <br />b. When suspending operations for 5 or more working days <br />c. Upon completion of work. <br />Work shall not proceed beyond a completion date specified in the Special . <br />Provisions without written approval of the Department. <br />2. PLANS, PLAN REVISIONS, ALTERED WORK <br />Plans or work sketch (EXHIBIT A) are subject to CDOT approval. A copy of <br />the approved plans or sketch must be available on site during work. Plan <br />revisions or altered work differing in scope or nature from that authorized <br />under this permit, are subject to CDOT prior approval. Permittee shall <br />promptly notify the CDOT inspector of changed or unforeseen conditions, <br />which may occur on the job. <br />3. INSURANCE <br />Insurance Requirements for Utility and Special -Use Permits (Revised 7 -05 per <br />State Requirements) <br />A. The Permittee shall obtain, and maintain at all times during the <br />performance of work authorized by this Permit, insurance in the <br />following kinds and amounts. The Permittee shall require any <br />Contractor working for them-within the State Highway Right of <br />Way to obtain like coverage. The Permittee shall also require any <br />Contractor or Consultant performing work described in sub- <br />paragraph 4) below, to obtain Professional Liability Insurance. <br />1) Workers' Compensation Insurance as required by state statute, <br />and Employer's Liability Insurance covering all employees <br />acting within the course and scope of their employment and <br />work on the activities authorized by this Permit. • <br />2) Commercial General Liability Insurance written on ISO <br />occurrence form CO 00 01 10/93 or equivalent, covering <br />premises operations, fire damage, independent Consultants, <br />products and completed operations, blanket contractual liability, <br />personal injury, and advertising liability with minimum limits <br />as follows: <br />a. $1,000,000 each occurrence; <br />b. $2,000,000 geneml aggregate; <br />c. 32,000,000 products and completed operations aggregate; <br />and <br />d. 350,000 any one fire. <br />CDOT Permit Form 333 and Standard Provisions Page 2 of 6 <br />. e. For any permanent Permittee -owned installations located <br />within the State Highway Right of Way, highway repairs, or <br />site restoration, Completed Operations coverage shall be <br />provided for a minimum period of one year following'final <br />acceptance of work. <br />If any aggregate limit is reduced below 1,000,000 <7 : <br />because of claims made or paid, the Permittee, or <br />as applicable - their Contractor, shall immediately <br />obtain additional insurance to restore the full <br />aggregate limit and furnish to CDOT a certificate <br />or other document satisfactory to CDOT showing <br />compliance with this provision. <br />3) Automobile Liability Insurance covering any auto (including <br />owned, hired and non -owned autos) with a minimum limit as <br />follows: $1,000,000 each accident combined single limit. <br />4) For any: a) engineering design; b) construction inspection; or, c) <br />traffic control plans approved by a Traffic Control Supervisor; <br />done in association with the operations or insfallations authorized <br />by this permit, Professional Liability Instirance.with minimum <br />limits of liability of not less than $1,000,000 Each Claim and <br />$1,000,000 Annual Aggregate. If the policy is written on a <br />Claims Made form, the Permittee, or, as applicable — their <br />Consultant or Contractor, shall renew and maintain Professional <br />Liability Insurance for a minimum of two years following final <br />acceptance of the work, provide a project specific Policy with <br />a two year extended repotting provision. <br />5) Pollution Legal Liability Insurance with minimum limits of <br />liability of 31,000,000 Each Claim and $1,000,000 Annual <br />Aggregate. CDOT shall be named as an additional insured to the <br />Pollution Legal Liability policy. If the Policy is a component of <br />the Professional Liability Policy, the Additional Insured <br />requirement is waived, and the Policy shall be written on a <br />Claims Made form, with an extended reporting period of at least <br />two year following final acceptance of the work. <br />6) Umbrella or Excess Liability Insurance with minimum limits of <br />$1,000,000. This policy shall become primary (drop down) in <br />the event the primary Liability Policy limits are impaired or <br />exhausted. The Policy shall be written on an Occurrence form <br />and shall be following form of the primary. The following form <br />Excess Liability shall include CDOT as an additional insured. ' <br />B. CDOT shall be named as additional insured on the Commercial <br />General Liability and 'Automobile Liability Insurance policies. <br />Completed operations additional insured coverage shall be on <br />endorsements-CG 2010 11/85, CG 2037, or equivalent. Coverage <br />required by the Permit will be primary over any insurance or self - <br />insurance program carried by the State of Colorado. <br />C. The Insurance shall include provisions preventing cancellation or <br />non - renewal without at least 30 days prior notice to CDOT by <br />certified mail. <br />D. The Permittee, or, as applicable their Contractor or Consultant, <br />will require all insurance policies in any way related to the Permit <br />and secured and maintained by the Permittee, Contractor or <br />Consultant, to include clauses stating that each carrier will waive all <br />rights of recovery, under subrogation or otherwise, against CDOT, <br />its agencies, institutions, organizations, officers, agents, employees , . <br />and volunteers. <br />E. All policies evidencing the surancecoverages required hereunder <br />shall be issued by insurance companies satisfactory to CDOT, <br />F. The Permittee, or as applicable - their Contractor or Consultant, <br />shall provide certificates showing insurance coverage required by <br />this Permit to CDOT prior to commencing work. No later than 15 <br />days prior to the expiration date of any such coverage, the <br />Permittee, Contractor or Consultant, shall deliver CDOT certificates <br />07/06 <br />